Tjersland, Timothy Powell

Tjersland, Timothy Powell is an individual health care provider with primary practice located at 1403 Greenbrier Pkwy Ste 200 , Chesapeake VA 23320-2876. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tjersland, Timothy Powell can be contacted via phone (757) 436-2444.

Contact Information

Primary practice address
1403 Greenbrier Pkwy Ste 200 Chesapeake VA 23320-2876
Phone: (757) 436-2444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003598 Virginia

Profile Details

NPI number 1285713750
LBN Legal business name Tjersland, Timothy Powell
Credentials PSYD.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285713750 NPPES
Virginia MEDICAID 010251010

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